Timeline of Development

Janet Greider

APA logo for DSM-5 development

Early Development “ The White Papers”
Work on the DSM-V actually started in 1999, two years before the publication of the DSM-IV-TR.  The first phase consisted of the ‘white papers’, or the massive collection of working papers by the American Psychiatric association. These papers provided the ‘pre-planning’ stage of the development of DSM-V, and the collections occurred between 1999 and 2007. The “white papers”  provided information about the deficiencies of the current (DSM-IV) DSM, guided ideas and goals, in addition to recommending both general and specific changes.  This stage was punctured with several multi-day conferences, during which the issues brought to light by the ‘white papers’  were reviewed, and the overall structure and potential changes to the DSM-V  was planned. In 2002 there began a series of 12 international conferences, which addressed the issues brought to light by the White Papers.

Appointment of DSM-5 Chair, Vice Chair, and Task Force
In April 2006, fully seven years after the review process began, the APA appointed Dr. David Kupfer as chair of the DSM-V task force, with Dr. Darrel Regier as the vice chair.
Between 2007 and 2008 we saw the formation of the work and study groups. In July 2007, the work group chairs were appointed, and the work group members were nominated. By May 2008 all the work group members were announced. The work groups spent between 2008 and 2010 developing their proposed draft diagnostic criteria. This was no small task, as it involved secondary data analysis, extensive literature reviews, and obtaining feedback on both the original and secondary analysis from other psychiatric professionals.

Recruitment of Large Academic Medical Centers for Field Trials
Beginning in April 2010, the APA-supported DSM-V Task force Work Groups recruited large academic medical centers to conduct field testing in a variety of populations and diverse settings. 60 facilities applied, and on May 13 2010, the work groups conducted a one-day intensive review of each of the applicants. They emerged with eleven sites that fit the criteria for quality of site, experience of researchers, and appropriate cost. The Large Academic Medical Centers collected pilot data between August and December 2010, whith actual field studies occurring between December 2010 and August 2011.

Recruitment of Routine Clinical Practitioners for Field Trials
In addition to Large Academic-Medical Facilities, the DSM-V Task Force Work groups also recruited Routine Clinical Practices (RCPs, representing solo and small-group practices) to conduct field trials. These consisted of some 1,500 psychiatrists, and 5,000 psychologists or mental-health practitioners.  Pilot testing for RCP field trials occurred in Jun 2011, and data collection started in July 2011, lasting through October 2011.

Online Publication of DSM-5 Draft
Between March and April 2011, the DSM-V research group reviewed  the data analysis plan and finalizing the statistical approach to both types of field trials. Between March 2011 and November 2011, the DSM-V Task force and Work Groups began the initial draft of the DSM-V. This draft also includes a ‘case book’ of relevant case studies collected during the field trials, which will be published after the DSM-V in a series of books.

Present and Future Development
This takes us to the current status of the DSM-V. On November 30 2011, the final draft of the DSM-V is due to the APPI for prepeartion for publication. Between January and feburary 2012, the reviesed diagnostic critera will be posted on the DSM5.org webpage, and will be open to the public for a feedback period of two months.
From March to December of 2012, the work groups will review and integrate the feedback fo the community, re-submitting the DSM-V draft for publication in late December of 2012.

Expected Release Date
Finally, after 14 years of effort, rewriting, and the most world-wide collective effort a revision of the DSM has ever seen, the DSM-V will be released during the APA’s 2013 annual meeting in San Francisco on May 18-22 2013.

American Psychiatric Association. (2010). DSM-5 development. Retrieved fromwww.dsm5.org

DSM-5: The Future of Psychiatric Diagnosis. DSM-5 Development. (2011). Retrieved fromhttp://www.dsm5.org/Pages/Default.aspx

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